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Related Experiment Videos

Continuing education and competency: some critical unresolved issues.

L J Gross

    Health Policy and Education
    |June 10, 1982
    PubMed
    Summary
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    Continuing education does not guarantee practitioner competence. Defining clinical competence and educating the public are key to ensuring healthcare quality and patient safety.

    Area of Science:

    • Health Professions Education
    • Medical Competency Assurance
    • Continuing Professional Development

    Background:

    • Health professions face challenges in continuing education and competency program planning.
    • Key dilemmas include prescriptive vs. felt needs, safety vs. competence objectives, and entry vs. advanced level assessment.

    Purpose of the Study:

    • To discuss the complexities and offer suggestions for improving continuing competency in health professions.
    • To highlight the disconnect between continuing education and assured continuing competence.

    Main Methods:

    • Literature review and philosophical discussion of continuing education and competency frameworks.
    • Analysis of challenges in defining and assessing clinical competence.
    • Exploration of potential solutions for enhancing practitioner accountability.

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    Main Results:

    • Continuing education alone does not ensure continuing competence.
    • A lack of a satisfactory definition for clinical competence hinders objective setting and assessment.
    • Public education on identifying marginal practitioners is a proposed, yet underdeveloped, component.

    Conclusions:

    • There is a critical need for a clear definition of clinical competence.
    • Criterion-referenced testing may offer a method for establishing acceptable skill thresholds.
    • Involving the public in identifying substandard practice is a potential avenue for improvement.